LISA ELEANOR ST BERNARD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030928

License Status

NOT RENEWED

Business

Title

DMD

First Name

LISA

Middle

ELEANOR

Last Name

ST BERNARD

Business Name

LISA ELEANOR ST BERNARD DMD

Original Issue Date

08/08/2016

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022